MEDICARE: DR. HALA ABDELAZIZ M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	15120	NV

General Provider Information

NPI Number	:	1336446236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALA ABDELAZIZ M.D

Provider Business Mailing Address
First Line	:	12273 LOST TREASURE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-5009
Country	:	US
Telephone Number	:	702-830-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2950 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6244
Country	:	US
Telephone Number	:	888-860-3522
Fax Number	:	833-208-4091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2011
Last Update Date	:	01/15/2019

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